Referral Guide


I dream of this being a page where many people contribute their ideas of various tricks, resources and knowledge they have found for patients, depending on patient's insurance.

Specialty

CCHP
MediCal
MediCare
Contributors
Acupuncture


Only covered if run by physician
In El Cerrito: Chinese Acupuncturist

Per email, Chris Farnitano, 2009
Bariatric surgery

Valley Care Weight Lossprogram in Livermore

Valley Care Weight Lossprogram in Livermore
from Ken Saffier, email May 2009
Cardiac risk stratification
Do not order "Persantine Thallium", order "Myocardial Perfusion Scan" to give center discretion on what isotope/drugs are used



Per Darrell Williams, from C Farnitano email June 2009
Cardiology
East Bay Cardiology
p(510)231-1200
f (510233-4750
Call Dr. Weiland
(519)685-1946 if you have pt with sign.cardiac problem you want seen as outpt in the next few days - he'll usu arrange to have pt seen in 1-2 day
Easy to get CCHP approval thru PA
for Echo Stress, Cardiolyte, Cardio consult
Takes straight Medi-Cal
Any Medicare
Jan Diamond
4/10
Chronic Pain Consults -
Dr. Jacob Rosenberg -
Integrated Pain Management
One time consultations regarding appropriate management of chronic pain, as well as interventional studies including nerve blocks and epidural steroid injections. They have offices in Antioch, Walnut Creek, Oakland and Alameda
Contracted with CCHP


N. Shah 8/12
Epidural Steroid Injections
Dr. Martinowski
(510)758-7462
fx(510)758-7454
New chronic pain specialist, Anesthesiologist in Pinole


Any Medicare.
Jan Diamond
6/10
ENT/Audiology
Dr. Joel Ross
(510)724-6662
Will do ENT eval AND
Audiology and RX/provide hearing aids
Easy - pts can make own appts, just give them ph #

Takes any Medicare (including Medi-Medi)
JDiamond
4/10
Eye glasses


California Vision project, http://californiavision.org/patients.html

from Gila Wildfire, email July 2009
Med Supplies
Shields
(800)675-8840
Delivers incontinence suppies, ostomy supplies, and now Glucometer/diabetic supplies.
I love them! Just call them, give them pt info over the phone, they fax you over a form to sign, and they deliver for a yr.,
They submit the PA request for CCHP
Yes Medi-Cal
Medicare doesn't cover incontinent supplies
JDiamond
4/10
Neurology
Dr. Robert Fox
2101 Vale Rd Suite 101
San Pablo, CA 94806
(510) 233-0056 Office


Medicare only
Michel Sam 1/2013
Neurosurgery
Dr. Mampalam
2150 Appian Way Ste 100Pinole, CA 94564
(510) 724-9888
Prior auth needed
No straight medical, only through CCHP prior auth
Yes
Michel Sam per Jan Diamond 10/2012
Neurosurgery
Shortz Roger W MD 3065 Richmond Pkwy Ste 102San Pablo, CA 94806(510) 841-1271




Obstructive Sleep Apnea (OSA)

Needs ambulatory sleep study done at CCRMC (CCHP then sends patient to CPAP vendor who does CPAP trial including CPAP autotitration at home)
Needs polysomnography at Doctors Medical Center or Contra Costa Sleep Center. Sleep center does CPAP titration and arranges for vendor

from Troy Kaji email, July 2009
OSA


DMSP has a sleep center: http://www.doctorsmedicalcenter.org/index.php?option=com_content&view=article&id=21&Itemid=31
Referral form:
http://www.doctorsmedicalcenter.org/images/stories/Referral_for_consults.doc
Medicare
Michel Sam 04/2013
Ophthalmology

Dr. Clark Tsai (sees GO, HO, not AO), 2700 Grant St. #100, Concord, 94520. Your care coordinator can send referrals fax 689-7748, phone 689-7744

__Barry Breaux, MD__1320 Tara Hills Dr Ste C
Pinole, CA 94564
(P)510-724-8100
(F)510-724-9255

__Amitabh Bharadwaj, MD__1320 Tara Hills Dr # H
Pinole, CA 94564
(P)510-724-1100
(F) 510-724-1104

Dr. Clark Tsai, Concord (see under CCHP)
Craig Desoer, email August 2009
Nishant Shah
January 2015
Orthopedics
Dr. Wellborn
(510)724-4600
fax(510)964-0607
Dr. Louay Toma
(925) 939-8585
West County/DMC
Joint replacements, all ortho procedures.
If High Risk, I send them to East Bay Cardio for High Risk Eval, so they can follow pt post-op
In Walnut Creek near JMMC
No
No
No
No
All Medicare, including "Medi-Medi"
JDiamond 4/10 (updated phone #s 2/12 from M Sam)
Pharmacy that Delivers
Midtown Pharmacy
(510)451-0100
f(510)251-9467
They deliver weekly or monthly bubble packs.
Good for pts that can't keep their meds straight!

Yes, for TO medical
Yes, all Medicare PDP's
JDiamond
4/10
Podiatry
Limited Access to Medi-cal Patients.
See instructions for new Foot Care Clinic
Health Plan (HO) and Basic Adult (AO) can go to Podiatry Clinic,
Medi-cal CCHP (GO) can only go to Foot Care Clinic in PHC
Foot Care Clinic in PHC. Medi-cal Restricted (TR) Pregnant woman or child can go to podiatry
ALL Medicare patients including Medicare-Medi-cal (MT) can go to Podiatry Clinic.
from Chris Farnitano email, August 2009/updated May 2010
Prescription meds for uninsured
rxassist.org



from Gila wildefire, email June 2009
Vascular surgery


1) East Bay Vascular Surgery, by John Muir Walnut Creek, 925-932-5313 (call them for their referral form, which you can give to patient and have patient call for appt)
2) Dr. Sharon Drager (DMC) 510-237-7728: she will see Medicare OR straight (TO) Medi-Cal
3) BASS (BAY AREA SURGICAL SPECIALISTS), provides complete vascular services including AAA's, carotid diease, PVD, full endovascular procedures, venous disease, DVT thrombectomies, and all of dialysis access. Doctors are Rajiv Nagesetty, Fernando Otero, Soohyn Kim, and Gregory Rhodes, M.D.
Call their office at 925-932-6330 with any questions and fax us a copy of the consult request at 925-932-0139 so that they can make sure that patients are seen quickly by expediting the authorization process.
yes
Tai Roe August 2009
Jan Diamond 10/09
Chris Farnitano 7/10